Final answer:
The anesthetic goals for cerebral aneurysm repair include controlled hypotension to decrease the risk of aneurysm rupture and the employment of controlled hypothermia to reduce the metabolic demands of the brain and other organs during surgery.
Step-by-step explanation:
The anesthetic goals for cerebral aneurysm repair are aimed at reducing the risk of aneurysm rupture and minimizing brain damage during surgery. One of the key goals is controlled hypotension, which involves lowering the blood pressure to reduce the stress on the aneurysm during the procedure, thereby decreasing the risk of rupture. Another critical goal is hypothermia, more specifically, controlled hypothermia, which is induced to lower the body's temperature and thus reduce the metabolic needs of the brain and other organs. This practice helps protect the brain and other vital tissues by reducing their demand for oxygen and nutrients, which can be especially crucial if the blood flow is disrupted during surgery.
It is important to note that hypercapnia (increased levels of carbon dioxide in the blood) and induced hypertension (purposefully increasing blood pressure) are generally not goals in the anesthetic management of cerebral aneurysm repair. Instead, maintaining stable carbon dioxide levels and avoiding hypertension are more typical concerns to prevent additional stress on the cerebral vasculature.